Individual
DR. MICHAEL WALTER CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
60 SADDLE RIVER AVE, SOUTH HACKENSACK, NJ 07606-1952
(201) 880-4860
Mailing address
24 HEMLOCK ST, OAKLAND, NJ 07436-1829
(201) 403-4753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00691700
NJ
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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